Individual
DR. DAVID G MARK
Active
Individual
DR. DAVID G MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01037623A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084424
BLUECROSS BLUESHIELD
IN
05
—
100323890A
—
IN
01
—
110082367
RAIL ROAD MEDICARE
IN
01
—
2004184004
CIGNA
IN
01
—
4229217
AETNA
IN
Enumeration date
06/10/2005
Last updated
05/19/2016
Update your record
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